JEFFREY T FIERSTEIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

First Name

JEFFREY T

Last Name

FIERSTEIN

Suffix

Business Name

JEFFREY T FIERSTEIN MD

Original Issue Date

04/15/1991

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023